Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients

Abstract

Objective: Our objective was to assess the prevalence of accompanying symptoms of migraine and tension-type headache in patients with such conditions (both episodic and chronic) and in headache-free controls, and their relationship with depression and anxiety. Method: A psychological assessment (Axis I, DSM-IV) was performed, and 21 accompanying symptoms were investigated in 506 patients with episodic migraine (231), chronic migraine (102), episodic tension-type headache (83), and chronic tension-type headache (90) and in 80 controls. The relationship between symptoms, headache type, and psychiatric comorbidity was analyzed. Results: The mean number of symptoms was significantly higher in patients (n=10.3) than in controls (n=3.4). Most symptoms were significantly associated with depression and anxiety, while only some of them were significantly associated with headache, with no relevant difference among groups. Conclusion: In headache patients, psychiatric comorbidity (compared with headache type or chronicity) seems to be more strictly associated with an increased burden of accompanying symptoms. D

Personality in patients with migraine evaluated with the "Temperament and Character Inventory"

“…The main limitation is the lack of a standardised interview to rule out psychiatric conditions in order to perform a correlation with the TCI domains. It is possible that harm avoidance could be related with depression and anxiety disorders, especially in PWM, where the comorbidity with psychiatric conditions is high [52][53][54][55][56][57][58][59]. Also, the lack of a standardised interview avoids a potential comparison between some groups of interest such as patients with aura, where the prevalence of psychiatric conditions is reportedly higher [56,57].…”

Presencia de sintomatología ansiosa y depresiva en pacientes ambulatorios con patología neurológica

“…43 En el caso particular de las cefaleas se puede explicar porque a pesar de presentar un porcentaje elevado de pacientes con puntuaciones superiores a 21 puntos, estas puntuaciones fueron las menores al comparar entre sí a los grupos, dado que a pesar que existe extensa bibliografía sobre la bidireccionalidad entre este tipo de trastornos con los trastornos de ansiedad y depresión, 44 lo común es esperar que las cefaleas que se presentan de manera crónica y recurrente (como la migraña crónica) se acompañen de estos síntomas, no así los casos de cefaleas episó-dicas. 45 En relación a la epilepsia se encuentra ampliamente descrita su relación con los trastornos psiquiátricos. Diferentes estudios hablan de su asociación con los trastornos afectivos la cual es incluso superior a lo que se observa en algunas enfermedades crónicas como el asma y la diabetes mellitus.…”

A Study of Prevalence of Major Depressive Disorder in Patients Primarily have Headache as a Symptom

“…Even though many studies have established co-existence of Primary Headache associated with Depression and Anxiety Disorders, there is a dire need of scientific studies aimed at unmasking the alternate or somatic presentations of Depression, the most common of which is Headache (4,5,6) Inclusion Criterion: Table 1 shows the demographic distribution of the patients analyzed in this study. The study population was divided based on various demographic variables i.e.…”